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    DRUGS UTILIZATIONS

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    5 views8 pages

    Drugs Utilizations

    Uploaded by

    jimelyquinones78

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 8

    ACILITY MONTHLY STOCK INVENTORY REPORT FORM

    Name of Facility: ____________________________________________________________________


    Complete Address: _____CN__________________________________________________________________________
    Municipality: ____________________________________________________________________________________

    NOTE: PLEASE COUNT PER TREATMENT PACK AND INDICATE LOT/BATCH NUMBER FOR EACH COMMODITY.
    DOH COMPLETE
    TREATMENT Ending Inventory from
    New Deliveries Stock Transfer
    PACKAGE PREVIOUS Month
    (ComPack)
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 0 0
    2 0 0
    3 300 0
    4 0 0
    5 0 0
    6 0 0
    7 0 0
    8 0 0
    9 0 0
    Ending Inventory from
    FAMILY PLANNING New Deliveries Stock Transfer
    PREVIOUS Month
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 0 0
    2 0 0
    3 0 0
    4 45 0
    5 0 0
    6 0 0
    MICRONUTRIENT Ending Inventory from
    New Deliveries Stock Transfer
    PROGRAM PREVIOUS Month
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 0 0 0
    2 6,022 0 0
    3 0 0 0
    4 16438 0 0
    5 0 0 0
    6 0 0 0
    7 0 0 0
    8 0 0 0
    9 0 0 0
    10 0 0 0
    11 0 0 0
    12 0 0 0
    13 0 0 0
    14 0 0 0
    15 18258 0

    INSULIN MEDICINE Ending Inventory from


    New Deliveries Stock Transfer
    ACCESS PROGRAM PREVIOUS Month

    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 0 0 0
    2 0 0 0
    3 0 0 0
    NATIONAL
    TUBERCULOSIS Ending Inventory from
    New Deliveries Stock Transfer
    CONTROL PREVIOUS Month
    PROGRAM
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 21 0 0
    2 3 0 0
    3 21 0
    4 42 0
    5 1000 0
    6 0 0 0
    7 0 0 0
    8 1000 0 0
    9 0 0 0
    10 20 0
    11 16 0
    12 0 0 0
    13 1512 0 0
    14 25 0 21 0
    INTEGRATED
    HELMINTH Ending Inventory from
    New Deliveries Stock Transfer
    CONTROL PREVIOUS Month
    PROGRAM (IHCP)
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 1800 0 0
    2 0 0 0
    3 0 0 0
    4 0 0 0
    Philippine
    Integrated
    Management of Ending Inventory from
    New Deliveries Stock Transfer
    Severe Acute PREVIOUS Month
    Malnutrition
    (PIMAM)

    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 0 0 0
    2 0 0 0
    NATIONAL
    Ending Inventory from
    IMMUNIZATION New Deliveries Stock Transfer
    PREVIOUS Month
    PROGRAM (NIP)
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 3
    2 6
    3 260
    4 26
    5 14
    6 110
    7 43
    8 36
    9 0
    10 172
    11 0 0
    12 37 0
    13 3 0
    14 0 0 0
    RABIES
    PREVENTION AND Ending Inventory from
    New Deliveries Stock Transfer
    CONTROL PREVIOUS Month
    PROGRAM
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 0 0 0
    2 0 0 0
    3 0 0 0
    4 0 0 0
    5 0 0 0
    ORAL HEALTH Ending Inventory from
    New Deliveries Stock Transfer
    PROGRAM PREVIOUS Month
    Date
    Quantity Lot Number Received
    Delivered

    J (A) (B) (C)


    1 0 0 0
    2 0 0 0
    3 0 0 0
    4 0 0 0
    5 0 0 0
    6 0 0 0
    MENTAL HEALTH
    Ending Inventory from
    MEDICINE New Deliveries Stock Transfer
    PREVIOUS Month
    PROGRAM
    Date
    Quantity Lot Number Received
    Delivered

    (A) (B) (C)

    1 0 0 0
    2 0 0 0
    3 0 0 0
    4 0 0 0
    5 0 0 0
    6 0 0 0
    7 0 0 0
    8 0 0 0
    9 0 0 0
    10 0 0 0
    11 0 0 0
    12 0 0 0
    13 0 0 0
    14 0 0 0
    15 0 0 0
    16 0 0 0
    17 0 0 0
    18 0 0 0
    19 0 0 0
    20 0 0 0
    21 0 0 0
    22 0 0 0
    23 0 0 0

    Prepared by: Noted by:

    Supply Chain Management Officer Municipal Health Officer / DTTB


    Month & Year: Feb-22
    Region: _____II_______________________
    Province: __

    Monthly End of the


    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 0
    0 0
    300 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    Monthly End of the
    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 0
    0 0
    0 0
    0 45
    0 0
    0 0
    Monthly End of the
    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (F)
    (D+E+F)
    0 0
    800 5222
    0 0
    150 16288
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 18258

    Monthly End of the


    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 0
    0 0
    0 0

    Monthly End of the


    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    6 15
    1 2
    6 15
    12 30
    0 1000
    0 0
    0 0
    0 1000
    0 0
    4 16
    4 12
    0 0
    0 0
    14 11

    Monthly End of the


    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    250 1550
    0 0
    0 0
    0 0
    Monthly End of the
    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 0
    0 0

    Monthly End of the


    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 3
    2 4
    114 146
    15 11
    8 6
    43 67
    10 33
    7 29
    0 0
    15 157
    0 0
    0 37
    1 2
    0

    Monthly End of the


    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 0
    0 0
    0 0
    0 0
    0 0
    Monthly End of the
    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0

    Monthly End of the


    Stock Transfer Others
    Consumption Month Stocks

    Transferred

    (A+B+C)-
    (D) (E) (F)
    (D+E+F)
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0

    Received by:

    Public Health Pharmacist - Cagayan

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